NPI | 1689782351 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS SEAN REISER Owner 724-272-0585 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013002L) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |